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CORRECT ANSWERS LATEST
UPDATE
Luteal out of phase event (LOOP) - answer- Explains why some perimenopausal women
have elevated estrogen level sometimes...In the early menopause transition, elevated FSH levels
are adequate to recruit a second follicle which results in a follicular phase-like rise in estradiol
secretion superimposed on the mid-to-late luteal phase of the ongoing ovulatory cycle.
Obese women and estradiol levels during menopause - answer- Obese women are more
likely to have anovulatory cycles with high estradiol levels. They are also more likely to have
lower premenopause yet higher postmenopause estradiol levels compared with women of
normal weight. (why they are at higher risk of endometrial cancer)
Climacteric phase - answer- The period of endrocrinologic, somatic, and transitory
psychologic changes that occur around the time of menopause.
Early menopause - answer- LMP before age 45
Late menopause - answer- LMP after age 54
Primary ovarian insufficiency - answer- Menopause that occurs before age 40
, Early menopause transition (stage -2) - answer- Persistent difference of 7 days or more in
the length of consecutive cycles.
Late menopause transition (stage -1) - answer- 60 or more consecutive days of
amenorrhea
Chinese and Japanese women - answer- These ethnic groups have lower estradiol levels
then white, black and hispanic women.
stage +2 - answer- late menopause stage: 5-8 years after FMP. Somatic aging
predominates. Increased genitourinary symptoms.
Stages +1a, +1b, +1c - answer- early post menopause: 2 years after FMP. FSH rises,
estradiol decreases. VMS predominate.
Elevated FSH, LH - answer- Endocrine labs after menopause
AMH, inhibin B - answer- These hormones work during reproductive years to not deplete
follicle pool too quickly.
Treatment for FPHL - answer- Minoxidil, spironolactone, finasteride, estrogen therapy
Late reporoductive years -3b and -3a. What happens with menstrual cycles, FSH, AMH, AFC,
inhibin? - answer- -3b: menstrual cycles normal, FSH normal, AMH low, AFC low, inhibin
low.
-3a: subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low.
CERTIFICATION EXAM 100%
CORRECT ANSWERS LATEST
UPDATE
Luteal out of phase event (LOOP) - answer- Explains why some perimenopausal women
have elevated estrogen level sometimes...In the early menopause transition, elevated FSH levels
are adequate to recruit a second follicle which results in a follicular phase-like rise in estradiol
secretion superimposed on the mid-to-late luteal phase of the ongoing ovulatory cycle.
Obese women and estradiol levels during menopause - answer- Obese women are more
likely to have anovulatory cycles with high estradiol levels. They are also more likely to have
lower premenopause yet higher postmenopause estradiol levels compared with women of
normal weight. (why they are at higher risk of endometrial cancer)
Climacteric phase - answer- The period of endrocrinologic, somatic, and transitory
psychologic changes that occur around the time of menopause.
Early menopause - answer- LMP before age 45
Late menopause - answer- LMP after age 54
Primary ovarian insufficiency - answer- Menopause that occurs before age 40
, Early menopause transition (stage -2) - answer- Persistent difference of 7 days or more in
the length of consecutive cycles.
Late menopause transition (stage -1) - answer- 60 or more consecutive days of
amenorrhea
Chinese and Japanese women - answer- These ethnic groups have lower estradiol levels
then white, black and hispanic women.
stage +2 - answer- late menopause stage: 5-8 years after FMP. Somatic aging
predominates. Increased genitourinary symptoms.
Stages +1a, +1b, +1c - answer- early post menopause: 2 years after FMP. FSH rises,
estradiol decreases. VMS predominate.
Elevated FSH, LH - answer- Endocrine labs after menopause
AMH, inhibin B - answer- These hormones work during reproductive years to not deplete
follicle pool too quickly.
Treatment for FPHL - answer- Minoxidil, spironolactone, finasteride, estrogen therapy
Late reporoductive years -3b and -3a. What happens with menstrual cycles, FSH, AMH, AFC,
inhibin? - answer- -3b: menstrual cycles normal, FSH normal, AMH low, AFC low, inhibin
low.
-3a: subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low.
